低血糖神经系统损害.pptVIP

* 低血糖脑病影像诊断 胼胝体、白质弥漫损害 Fig. 3 a–d (Patient 14) A 32-year-old woman was found in a coma 2 days after she was last seen. Glucose level was 33 mg/dL at presentation. Diffusion-weighted images(a, b) on the day of admission show bilaterally symmetrical confluent hyperintense lesions in the periventricular and subcortical white matters. There are also involvements of the corpus callosum and internal capsule. ADC maps (c, d) at the same levels as a and b show decreased ADC in these lesions ;the lesions spared the cortical and deep gray matter * 治疗 通常急性交感神经反应症状和早期中枢神经系统症状给予口服葡萄糖或含葡萄糖食物